Healthcare Provider Details

I. General information

NPI: 1932658069
Provider Name (Legal Business Name): MEGAN ELIZABETH OKELLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 RIVER OAKS DR
MYRTLE BEACH SC
29579-6615
US

IV. Provider business mailing address

4010 RIVER OAKS DR
MYRTLE BEACH SC
29579-6615
US

V. Phone/Fax

Practice location:
  • Phone: 843-903-7246
  • Fax: 843-903-7249
Mailing address:
  • Phone: 843-903-7246
  • Fax: 843-903-7249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20496
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number20496
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number20496
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number20496
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: